Organization
SISKIYOU COMMUNITY HEALTH CENTER INC
Active
Parent organization
SISKIYOU COMMUNITY HEALTH CENTER INC
Other names
North Valley High School SBHC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SISKIYOU COMMUNITY HEALTH CENTER INC
Authorized official
RICHARD BOOTH (CEO)
(541) 471-3455
Entity
Organization
Contact information
Practice address
6741 MONUMENT DR, GRANTS PASS, OR 97526-8536
(541) 479-3388
Mailing address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1051
(541) 471-3455
(541) 471-9242
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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